SUBCHAPTER A. GENERAL PROVISIONS AND DEFINITIONS

§ 10.1. Purpose and Scope

§ 10.2. Definitions

§ 10.3. Contact Information

SUBCHAPTER B. CERTIFICATION

§ 10.20. Certification Required

§ 10.21. Certificate Application

§ 10.22. Contents of Application

§ 10.23. Action on Application

§ 10.24. Network Financial Requirements

§ 10.25. Filing Requirements

§ 10.26. Modifications to Service Area

§ 10.27. Modifications to Network Configuration

SUBCHAPTER C. CONTRACTING

§ 10.40. Management Contracts

§ 10.41. Network-Carrier Contracts

§ 10.42. Network Contracts with Providers

SUBCHAPTER D. NETWORK REQUIREMENTS

§ 10.60. Notice of Network Requirements; Employee Information

§ 10.61. Employees Who Live Within the Network Service Area, Employee Access, and Insurance Carrier Liability for Health Care

§ 10.62. Dispute Resolution for Employee Requirements Related to In-Network Care

§ 10.63. Plain Language Requirements

SUBCHAPTER E. NETWORK OPERATIONS

§ 10.80. Accessibility and Availability Requirements

§ 10.81. Quality Improvement Program

§ 10.82. Credentialing

§ 10.83. Guidelines and Protocols

§ 10.84. Treating Doctor

§ 10.85. Selection of Treating Doctor; Change of Treating Doctor

§ 10.86. Telephone Access

SUBCHAPTER F. UTILIZATION REVIEW AND RETROSPECTIVE REVIEW

§ 10.100. Applicability

§ 10.101. General Standards for Utilization Review

§ 10.104. Independent Review of Adverse Determination

SUBCHAPTER G. COMPLAINTS

§ 10.120. Complaint System Required

§ 10.121. Complaints; Deadlines for Response and Resolution

§ 10.122. Submitting Complaints to the Department

SUBCHAPTER H. EXAMINATIONS

§ 10.200. Fee for Examination of a Certified Workers' Compensation Health Care Network